Upper Extremity

Question 1

True or false? A digital nerve block should be performed in a high-pressure injection injured patient for pain management.

Answer 1

False, can worsen compartment syndrome

Question 2

What injury pattern is defined by a proximal ulnar fracture and radial head dislocation?

Answer 2

Monteggia fx

Question 3

Salter Harris Pearls

Answer 3

Salter-Harris Fractures
I: S (Slipped epiphysis)
II: A (fracture Above physis), most common
III: L (fracture beLow physis)
IV: T (fracture Through physis)
V: R (wRecked physis)
I/II rx: nonoperative
IV/V rx: surgery required
Negative radiographs do not r/o a Salter I fracture